MO HealthNet Increases Reimbursement For Physician Services

The MO HealthNet Division increased reimbursement for physician services by 1.5 percent for dates of service on and after July 1, in accordance with the state budget adopted for fiscal year 2019. (Note: The bulletin is very large and may download very slowly.) Providers will be paid the lesser of their usual and customary charge, or the MHD rate. MHD will automatically adjust claims paid after July 1, but before the rate tables were updated to include the rate increase.

MO HealthNet Implements Payment Edit For Daily Maximum Drug Limits

The MO HealthNet Division implemented an edit on Aug. 19, to deny pharmacy claims that exceed maximum daily quantity limits set by MHD or First Databank’s Medknowledge. The correct day's supply must be submitted on drug claims based on the quantity dispensed and the prescriber’s directions. Prescribers should contact MO HealthNet Pharmacy and Clinical Services at 573/751-6963 with questions about billing or denied claims.

MLN Connects Provider eNews Available

Updates to MLN Connects Provider eNews were issued by the Centers for Medicare & Medicaid Services. eNews includes information about national provider calls, meetings, events, announcements and other MLN educational product updates. The latest issue provides updates and summaries of the following.

Registration Open For Webinar On Expanding Access To Addiction Medicine

Opioid use disorder and related morbidity and mortality continues to increase in much of the U.S. As a result, related emergency department visits and hospitalizations significantly have increased. The webinar, “Expanding Access to Medication Assisted Treatment for Opioid Use Disorder to Patients in the Hospital,” will provide an overview of the opioid epidemic, and the laws and regulations that dictate how medication assisted treatment (primarily buprenorphine and methadone) can be used in the treatment of OUD. Discussions will include hospital-based initiatives being used across the U.S., as well as the exceptions that exist to regulations that allow for providers to use medication to treat OUD in patients seen in the ED or who are admitted to the hospital.
The webinar is scheduled for 11 a.m. Central time Tuesday, Aug. 28.

340B Recertification Deadline Approaching

Hospitals are required to recertify for 340B participation on an annual basis, and the deadline for recertification is Wednesday, Sept. 12. Hospitals should have received an email recertification notice from noreply@hrsa.gov that provides instructions. The email was sent to the primary contact and authorizing official listed in the hospital account. The recertification period began Aug. 15; however, before beginning the recertification process, the primary contact and authorizing official must set up a user account in the new 340B Office of Pharmacy Affairs Information System. The 340B OPAIS username and password will allow access to the account information needed to perform the recertification. The authorizing official will be required to log in to the 340B database, update information as needed and attest to the organization’s compliance with 340B Program requirements.

Consider This ...

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